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Village of Vatavia

Permit for Conditional Use or Zoning Variance

This application shall be accompanied by one copy of plans, specifications, and other pertinent documentation of lot dimensions, location of buildings, setbacks, rights-of-way, easements, parking, and driveways. Site dimensions shall be based on actual survey of site.

SEPARATE APPLICATION MUST BE FILED FOR EACH SIGN REQUESTED

Application is made for:

Construction (Check one)
Type of Sign

Lot Dimensions

Setbacks : Distance from construction to property lines

No. off street parking places

Will street or sidewalk be opened or cut?
Yes
No

Drawing is required for this permit

Remodeling

Utilities: Check taps needed
Will street or sidewalk be opened or cut?
Yes
No

The undersigned requests a zoning permit based on the information above, including any attached drawings, and certifies the information to be correct.

Date
Month
Day
Year
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